×
Existing Dealers and Agents Log In Here.
Log In

Customer Forms

The forms listed below are available for download in Adobe PDF format. If you are unable to open the PDF files below, you will need to download and install the free Adobe Acrobat PDF Reader.

Credit Insurance

 Credit Life Insurance Claim Form
  New York Credit Life Insurance Claim Form
  Credit Disability Insurance Claim Form
 Third Party Authorization Form
  W-9 Packet
To cancel your credit life and/or disability insurance, please contact the program administrator at 800.841.4777 or contact the selling dealer.

© 2017 Protective Life Corporation
To give you the best possible experience, this site uses cookies and by continuing to use this site you agree that we can save them on your device. Cookies are small text files which are placed on your device and which remember your preferences/some details of your visit. Our cookies don't collect personal information.
For more information, please visit our updated Privacy and Cookie Policy